Please complete all the details below for your insurance membership request and allow up to seven business days for your request to be processed. Please note, all multi visit swim passes expire 12 months from the date of purchase. Customers purchasing a swimming multi visit pass for the first time will be required to purchase an access card ($3.70). Please complete all required fields! Please enter your contact information Name(*) Invalid Input Organisation(*) Invalid Input Phone(*) Invalid Input Email(*) Invalid Input Member Details First Name(*) Invalid Input Last Name(*) Invalid Input Address(*) Invalid Input Suburb(*) Invalid Input Postcode(*) Invalid Input Phone(*) Invalid Input Email(*) Invalid Input Date of Birth(*) Invalid Input Select your membership option All memberships include access to the gym, group fitness and aquatic facilities. Multi Visit Swim Passes are available for adult swims and the spa lounge. (*) 1 month Multi Access $199.00 3 months Multi Access $440.00 12 months Multi Access $995.00 10 adult swim pass $59.40 20 adult swim pass $115.00 40 adult swim pass $224.40 10 spa lounge pass $105.30 20 spa lounge pass $204.75 40 spa lounge pass $397.80 Invalid Input Invoicing Details Organisation to invoice(*) Invalid Input Contact Person(*) Invalid Input Address(*) Invalid Input Suburb(*) Invalid Input Postcode(*) Invalid Input Contact Phone(*) Invalid Input Email(*) Invalid Input Claim Number(*) Invalid Input Membership start date(*) Invalid Input Supporting Documentation If you have any supporting documentation, please upload. Invalid Input Additional comments Invalid Input Submit